WARREN WISNIEWSKI SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

WARREN

Middle

WISNIEWSKI

Last Name

SCOTT

Suffix

Business Name

WARREN WISNIEWSKI SCOTT MD

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

07/31/1999

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006